Search › Indiana › 364SP0808X
Patricia Wallace, CNS
NPI 1356368849 · on the registry since 2006
Practice
- Address
- 4847 E Virginia St Ste D
Evansville, IN 47715 - Phone
- (812) 479-1242
- Fax
- (812) 479-1330
- Organisation at this address
- Architects Of Human Awareness
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Additional practice sites
- 7200 E Indiana St, Evansville, IN
Registry record
- Primary taxonomy
- 364SP0808X
364SP0808X
- Also registered as
- 364S00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana